Steffens K, Koob E
Abteilung für Plastische und Handchirurgie, St. Josef Hospital, Essen Kupferdreh.
Z Orthop Ihre Grenzgeb. 1994 Sep-Oct;132(5):437-40. doi: 10.1055/s-2008-1039850.
Stenosing tenosynovitis over the dorsum of the wrist in the sixth compartment is seldom mentioned in literature. We have collected 28 cases in a four-year period which demonstrate that the incidence is quite high. This condition should be considered in the differential diagnosis of pain over the dorso-ulnar aspect of the wrist. On examination firm, fusiform swelling in the sixth compartment was present. Pain was elicited by active ulnar deviation against resistance. All 28 patients had local infiltration with cortisone, but only 8 patients obtained complete relief. 18 of 20 patients had complete relief of their symptoms after surgical release of the sixth compartment. We conclude that stenosing tendovaginitis of extensor carpi ulnaris is a relatively common condition. Awareness of the syndrome allows accurate diagnosis and treatment.
文献中很少提及第六腕背侧间隔狭窄性腱鞘炎。我们在四年内收集了28例病例，结果表明其发病率相当高。在腕背尺侧疼痛的鉴别诊断中应考虑到这种情况。检查时，第六间隔出现坚实的梭形肿胀。抗阻力主动尺偏可引起疼痛。所有28例患者均接受了皮质激素局部浸润治疗，但只有8例患者完全缓解。20例患者中有18例在第六间隔手术松解后症状完全缓解。我们得出结论，尺侧腕伸肌狭窄性腱鞘炎是一种相对常见的疾病。认识该综合征有助于准确诊断和治疗。
